Training

TRAINING

Handling marine claims is a unique task for individual. The human capital expert in marine claim division can save a lot of company’s money. Professional marine claim handler knows where and when to use the limitation figures in settling the cargo claim. Please do not hesitate to contact us to discuss the area of training to suit your organization needs.

SAMPLE OF TRAINING MODULE

This course is designed for the Claims Professional who is primarily responsible for the investigation and settlement of claims made by policyholders and third-parties.  You will learn the methods, procedures and standards used in handling claims adjusting of cargo, liability and marine insurance.

Who Should Attend:

Insurance company claims personnel, agents and brokers, transportation shippers and carriers,  risk managers, independent surveyors, claims adjusters, and recovery employees.

Part I

CLAIMS HANDLER DUTIES AND RESPONSIBILITIES

  • A. Job Knowledge

    Technical

    • Cargo (B/L, Clause etc)
    • Cargo Subrogation
    • Hull and Machinery
    • Personal Injury
    • P & I
    • Liability
    • Reinsurance

    Legal

    • Litigation Management
    • Limitation (COGSA), MSO, etc
  • B. Planning & Organizing

    • Prioritize workflow
    • Manage Diary System
    • Respond to incoming telephone calls, faxes and mail
    • Meet deadlines
    • Risk information
    • Time management
  • C. Problem Solving / Creativity

    • Analyze coverage
    • Proper investigation
    • Vendor Selection ( Surveyor, Lawyer and Experts)
    • Business strategy for case handling
    • Document thought process in file notes
  • D. Decision Making

    • Gather and analyze information and documentation
    • Develop plan for claim resolution
    • Make a timely decision and proceed
  • E. Judgment

    • Technical expertise
    • Best practices
    • Market conditions
    • Awareness of the total picture
  • F. Adaptability

    • Understanding the needs of customers
    • Be open to new resources if they will improve our business results
    • Understand and support business goals
  • G. Initiative

    • Diary
    • Reserving
    • Claim management
    • Risk information
    • Sharing information / reports
  • H. Entrepreneurship

    • Being pro-active
    • Make things happen
    • Being resourceful
  • I. Communication Skills

    • Internal / External
    • Verbal / Written
    • Clear / Concise / Professional
  • J. Interpersonal Skills

    • Communication
    • Attitude
    • Respect
    • Enthusiasm
  • K. Accountability for Results

    • Take ownership of your work
    • Take pride in your work

PART II

CARGO CLAIMS

  • 1. Policy Coverage

    • Conveyances, duration, valuation, geographical limits, goods insured, terms of sale, shipment reporting methods.
  • 2. Types of Loss – Measure of Indemnity

    • Particular Average
    • General Average
    • Sue and Labor Expenses
    • Goods on consignment fees and expenses
    • Increased value policies, business income loss
    • Total loss
  • 3. Loss Investigation

    • Assign surveyors
    • Warranties
    • Policy defences  expressed and implied
    • Legal counsel
  • 4. Loss Adjustment

    • Replacement cost vs. actual cash value
    • Depreciation
    • Deductible
    • Claim calculation, freight costs, selling price, valuation
    • Special loss clauses due to type of commodities
  • 5. Subrogation

    • Time limitations
    • Carriers defences
    • Limitation, COGSA/Warsaw/Domestic transit/MSO1952
    • Amounts recoverable
  • 6. Examples of Cargo Claims

PART III

HULL CLAIMS

  • 1. Notice of Loss

    A.     Policy Coverage and Verification

    • Policy Period – Date of Loss
    • Schedule of Vessels – Vessel Name and Value
    • Assured Name
    • Coverage and Perils
    • Deductible
    • Claims Lead and Following Clause

    B.      Setting up the Claim File

  • 2. Types of Losses and Damages

    A.     Losses

    • Particular Average
    • General Average
    • Collision Liability
    • Salvage
    • Sue & Labor
    • Total Loss

    B.      Damages

  • 3. Loss Investigation and Assignment of Experts

    A.     Appointing the Surveyor

    B.     Appointment of Attorneys

    C.     Appointing the Adjuster

  • 4. Loss Adjustment and Documentation

    A.     Review sample Adjustments

    B.      Discuss sections within the Adjustment

    • Items of claims and Common Charges

    C.     Documentation Necessary to Support a Claim

  • 5. Examining the Adjustment and Claims Settlements

    A.     Warranties

    • Expressed – Implied
    • Seaworthiness -Trading

    B.     Burden of Proof

    C.     Assureds Allegation

    D.    Proximate Cause

    E.      Reasonable Cost of Repairs

    F.      Surveyors Approvals

    G.    Unrepaired Damage

    H.    Payment on Account

    I.       Consistency

    J.       Without Prejudice

    K.     Payments

    • Loss Payee
    • Pay Orders

PART IV

MARINE LIABILITY CLAIMS

  • 1. Policy Coverage

    A.     Liability for:

    Death or injury to:

    • Crew
    • Shore workers
    • Marine workers / non-seamen
    • Offshore workers
    • Passengers
    • Third parties
    • Property damage
    • Other vessels
    • Land or shore facilities
    • Third party property

    B.      Insuring agreements

    • Indemnity v. liability policies
    • Excess liability
    • Following form manuscript
    • Coverage for contractual indemnity
    • Additional assured status
    • Waivers of subrogation
    • Duty to defend
    • Other insurance clauses

    C.     Limitations

    • As owner
    • Deletion Limitation of liability
  • 2. Insured & Policy Forms

    A.     Types of Insureds:

    • Vessel
    • Owner
    • Employer
    • Charterer
    • Dual capacity
    • Wharfingers
    •  Terminal Operators
    • Stevedores
    • Voyage & time charterers
    • Shipyards
    • Offshore operators, drilling companies and service contractors

    B.      P & I Clubs

    Nature of insurance  ship owners mutual

    • Typical assured
      • Ocean ships
      • Liners
      • Tramps
      • Integrated tug and barge
    • Certificates of entry
    • Fixed premium
    • Typical clubs
      • Shipowners P&I
      • West of England
      • North of England

    C.     Types of policy forms

  • 3. Types of Claimants

    A.     Seamen

    • The Merchant Shipping Ordinance 1952
    • Seamen status
    • Theories of recovery for injury or death of seamen against an employer / vessel
      • Negligence
      • Warranty of seaworthiness
      • Maintenance and cure
    • Borrowed employee
    • Theories of recovery against third parties

    B.      Marine Workers

    • compensation benefits
    • negligence action
    • prohibitions

    C.     Offshore workers

    D.     Third Party:

    • Passengers
    • Business invitees
    • Bystanders

    E.      Property damage

    • Other vessels
    • Fixed or shore structures
    • Mooring facilities
  • 4. Loss Investigation and Adjusting

    A.     Prompt notice and time limits

    B.     Defence costs

    C.     Surveyor, consultant, expert or investigator fees

    D.    Setting Reserves

    E.     Settlement of Claims

    • Written agreements
    • Negotiation
    • Settlement conference before judge or magistrate

    F.        Decision to litigate

    • Considerations
      • Excess judgments
      • Defense costs
    • Third party recoveries / Subrogation

    G.        Reporting requirements

    • Internal communication
    • Communication with lawyer
    • Communication with consultants, surveyors and experts